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AFH Checklist.pdfAdult Family Home (AFH) LOCAL BUILDING INSPECTION CHECKLIST Code References: 2009 IRC Section R325 (WAC 51-51) APPLICATION (HUMBER: SECTIONS 1, 2, 3, AND 4 MUST BE COMPLETED BY APPLICANT BEFORE INSPECTION WILL BE PROCESSED • o • � STEADDRESS:R?��lJ Gdtf�V' (VJ�ASSESSORS TAX/PARCEL#: _ _ _ _ _ _ --- _ _ _ PROPERTY OWNER NAME:(� l Grr `'W N I DAYTIME PHONE: 5 6o AFH LICENSEE NAME (IF DiFFERENT):CP'4J C) S Btq\l APL"' If fAm i Ir � r (off 6 DAYTIME PHONE:,?60( (�� y�5 �� 6 � e S; 6 If IN i 000=11; • ••• APPLICANT MUST DRAW COMPLETE FLOOR PLAN/S ON THIS FORM (ALL FLOORS). PLEASE INCLUDE ALL SLEEPING ROOMS (BEDROOMS). ON THIS DRAWING INDICATE WHICH BEDROOM ISA B, C D E AND F. LABEL ALL COMPONENTS FOR EXITING Le.: _ STAIRS, RAMPS, PLATFORM LIFTS & ELEVATORS. 'IN A = DTSCLATMER /SIGNATURE'BLC I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am requesting or I am authorized by the owner of the above premises to request inspection for the operation of an Adult Family Home at this location. I agree to hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation of such claim), which may be made by any person, including the undersigned, and filed against the jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information supplied to the jurisdiction as a part of this application. y , NAME/TITLE: J� NLG` SU`-"�� I- /Prr� pe y uYl cc�� v DATE: YZ' Z ��U ❑ PROPERTY OWNER Iff APPLICANT ❑ LICENSEE 08/01/10 (Effective July 1, 2010) WAC 51-51-0325 Section R325 - Adult family homes. SECTION R325 ADULT FAMILY HOMES R325.1 General. This section shall apply to all newly constructed adult family homes and all existing single family homes being converted to adult family homes. This section shall not apply to those adult family homes licensed by the state of Washington department of social and health services prior to July 1, 2001. R325.2 Submittal Standards. In addition to those requirements in Section 106. 1, the submittal shall identify the project as a Group R-3 Adult Family Home Occupancy. A floor plan shall be submitted identifying the means of egress and the components in the means of egress such as stairs, ramps, platform lifts and elevators. The plans shall indicate the rooms used for clients and the sleeping room classification of each room. R325.3 Sleeping Room Classification. Each sleeping room in an adult family home shall be classified as: 1. Type S - where the means of egress contains stairs, elevators or platform lifts. 2. Type NSl - where one means of egress is at grade level or a ramp constructed in accordance with R325.9 is provided. 3. Type NS2 - where two means of egress are at grade level or ramps constructed in accordance with R325.9 are provided. R325.4 Types of Locking Devices. All bedroom and bathroom doors shall be openable from the outside when locked. Every closet shall be readily openable from the inside. Operable parts of door handles, pulls, latches, locks and other devices installed in adult family homes shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist. The force required to activate operable parts shall be 5.0 pounds (22.2 N) maximum. Exit doors shall have no additional locking devices. R325.5 Smoke Alarm Requirements. All adult family homes shall be equipped with smoke alarms installed as required in Section R314. Alarms shall be installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon activation of a single device. R325.6 Escape Windows and Doors. Every sleeping room shall be provided with emergency escape and rescue windows as required by Section R310. No alternatives to the sill height such as steps, raised platforms or other devices placed by the openings will be approved as meeting this requirement. R325.7 Fire Apparatus Access Roads and Water Supply for Fire Protection. Adult family homes shall be served by fire apparatus access roads and water supplies meeting the requirements of the local jurisdiction. R325.8 Grab Bars. Grab bars shall be installed for all water closets and bathtubs and showers. The grab bars effective WAC 51-51- 0325: Section R325 - Adult family homes. date 7/1/10 shall comply with ICC/ANSI Al 17.1 Sections 604.5 and 607.4 and 608.3. EXCEPTION: Grab bars are not required for water closets and bathtubs and showers used exclusively by staff of the adult family home. R325.9 Ramps. All interior and exterior ramps, when provided, shall be constructed in accordance with Section R311.8 with a maximum slope of 1 vertical to 12 horizontal. The exception to 8311.8.1 is not allowed for adult family homes. Handrails shall be installed in accordance with R325.9.1. R325.9.1 Handrails for Ramps. Handrails shall be installed on both sides of ramps between the slope of 1 vertical to 12 horizontal and 1 vertical and 20 horizontal in accordance with R311.6.3.1 through R311.6.3.3. R325.10 Stair Treads and Risers. Stair treads and risers shall be constructed in accordance with 11311.7.4. Handrails shall be installed in accordance with R325.10.1. R325.10.1 Handrails for Treads and Risers. Handrails shall be installed on both sides of treads and risers numbering from one riser to multiple risers. Handrails shall be installed in accordance with R311.7.7 through R311.7.7.4 [Statutory Authority: RCW 19.27.190, 19.27.020, and chapters 19.27 and 34.05 RCW. 09-04-023, §51-51-0325, filed 1/27/09, effective 7/1/10. Statutory Authority: RCW 19.27.074, 19.27.020, and chapters 19.27 and 34.05 RCW. 07-01-090, § 51-51-0325, filed 12/19/06, effective 7/1/07. Statutory Authority: RCW 19.27.031 and 19.27.074.04-01-109, § 51-51-0325, filed 12/17/03, effective 7/1/04.] 08101110 NAME OF AFH - _ '`� ._ ._•__._-__. SECTION 5 MUST BE COMPLETED BY THE BUILDING DEPARTMENT IN THE JURISDICTION THE HOME WILL BE LOCATED. PLEASE CHECK ALL APPLICABLE BOXES; MATCH THE LIST BELOW TO THE APPLICANT'S FLOOR PLAN- USING THEIR PROSPECTIVE RESIDENT BEDROOM DESIGNATIONS OF A, B, C, D, E, AND F AND CLASSIFICATION CODE: S, NS1, OR NS2 R325.3 SLEEPING ROOM CLASSIFICATION. Each sleeping room in an adult family home shall be classified as: Type S -where the means of egress contains stairs, elevators or platform lifts to evacuate residents to public area. Type NSI -where 1 means of egress at grade level (has no stairs), or a ramp constructed compliant with R325.9 is provided to evacuate residents to public area, Tvve NS2-where 2 means of egress at grade level (bath have nostairs), or ramps constructed compliant with R325.9 are provided to evacuate residents to public area. Sleeping Room A W I P Type S [5 Type NS1 1 ❑ Type NS2 YE NO Closet doorls are readily openable from the inside I YES NO ❑ Smoke alarm is installed in the bedroom ❑ . Bedroom door is easily and quickly openable from the outside when locked ® ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) *EXCEPT PER R31 U A: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF I El ❑ Sleeping room window has a maximum sill height of 44" above floor, no steps under windowy6rmitted ❑ Sleeping Room B Type S Type NSI ❑ Type NS2. ,YESJ NO Closet doorls are readily openable from the inside IYES NO ❑ I Smoke alarm is installed in the bedroom ❑ Bedroom door is easily and quickly openable from the outside when locked ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high: at least 20" wide) . *EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF °' ❑ . ' Sleeping room window has a maximum sill height of 44" above floor, no steps under Window permitted < °0 ❑ - Sleeping Room C 2, 1 ❑ Type S 9 T pe NSI I ❑ Type NS2 YES NO Closet doorls are readily openable from the inside IYES I NO 111 Smoke alarm is installed in the bedroom ❑ Bedroom door is easily and quickly openable from the outside when locked W ❑ Sleeping room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) :a, 0- — *EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF ❑ Sleeping room window has a maximum sill height of 44" above f or; no steps un r window permitted ❑ Sleeping Room D Type S Type NSI ❑ Type NS2 YES NO Closet doorls are readily openable from the inside i(Es NO ❑ Smoke alarm is installed in the bedroom ❑ Bedroom door iseasily and quickly openable from .the outside. when locked -- ❑ Sleeping -room window has a net.opening of,5.7 SF* _ (minimum dimensions at least 24" high; at least 20" wide) - ,, *EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING S SF _ ❑_ Sleeping room window has a maximum sill height of..44" abov floor; no. st.eps.u2der window permitted Sleeping Room ET e S Type NSI 11T a NS2 YE ❑ NO Closet doorls are readily openable from a inside Yes NO ❑ Smoke alarm is installed in the bedroom : ❑ - Bedroom door is easily and quickly openable from the outside when locked El room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) *EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF ❑ Sleeping room window has a maximum sill height of 44" above floor; no steps under window permitted 1 5 ❑ Sleeping Room F - ❑ Type S ❑ Type NSI ❑ Type NS2 - YES NO Closet doorls are readily openable from the inside YEs ❑ . NO ❑ Smoke alarm is installed in the bedroom ❑ ❑ Bedroom door is easily and quickly openable from the outside when locked - ❑ ❑ Sleeping, room window has a net opening of 5.7 SF* (minimum dimensions at least 24" high; at least 20" wide) ❑ ❑ *EXCEPT PER R310.1.1: AT -GRADE ESCAPE WINDOWS -MAY HAVE NET CLEAR OPENING 5 SF Sleeping room window has a_ maximum sill height of 44" above floor; no steps under window permitted ❑ ❑ r]CAICDAI YES,/ NO Bathroom doors are easily and quickly openable from the outside when locked ❑ Smoke alarms are installed on a leve s of the dwelling, in each resident sleeping room, outside each separate sleeping area in the immediate vicinity of sleeping rooms R314 ❑ Smoke alarms are installed in such a manner so that the fire warning may be audible in all parts of the dwelling upon activation of a single device. ❑ Access road and water supply meet local fire jurisdictional requirements I El ❑ 08101110 R311.8 Ramps T -- Inside Ramp NtA` YES NO R311.8:1 Maximum Sloe one unit vertical in twelve units horizontal 8.3% slope). Exception R311.8.1 Not allowed in AFH ❑ R311.8.2 Landing Requirements: min. 3X3 foot landing at top/bottom, where doors open onto ramps, and where ramp changes directions. R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3. ❑ Outside Ramp NIA:7 YES NO " R311.8.1 Maximum Slope one unit vertical in twelve units horizontal (8.3% slope). (Exception R311.8.1 Not allowed in AFH) ❑ "" ❑ R311.8.2 Landing Requirements: min.�3X3 foot landing attop/botfom, where doors open onto ramps, and where ramp changes directions. ❑ ❑ -, R325.9.1 Handrails required on both sides of ramp in accordance with R311.8.3.1 — R311.8.3.3. ❑ ❑ . *Guards below are depicted vertically as an example only. All Ramps must have Guards Guard 36" min Less than 4" nun ADULT FAMILY HOME RAMP per 2009 IRC with SNA. ST. AMENDMENTS 'BALL RAMPS REQUIRE A BUILDING PERMIT* 8311.2 Means of Egress YE NO R311.2 Door must be side -hinged with min. width of 32 inches between face of door and stop. Height not less than 78 inches. rl ❑ R325.4 Operable parts of door handles, pulls, latches, locks and other devices installed in AFH shall be operable with one hand and shall not require tight grasping, pinching or twisting of the wrist (lever -type, emergency egress hardware). The Exit doors ❑ shall have no additional locking devices. 8311.7 Stairways ;NIA YES NO R311.7.4.1 Riser Height: Max riser height shall be T/. inches 8 inches in structures built prior to July 1, 2004 r-1 ❑ R311.7.4.2 Tread Depth:- Min: (read depth shall be 10,inches. 9 inches in strictures built priorto July 1, 2004 ❑ ❑ R325.10.1 Handrails for Treads and Risers shall be installed on both sides of treads and, risers numbering from one riser to multiple risers. Handrails shall be installed in accordance with R311.7.7.1— R311.7.7.4 ❑ ❑ R 3')5 R rrah Rnrc in Rnthrnnms (Mav renulre "alternate" aonroval in accordance with IRC Sec. R104.10 and .11) 1 YES I NO R325.8 Grab bars shall be installed for all water closets (toilets), bathtubs and showers. Bathing facilities such as tubs and showers; and 01 111 On both sides of the toilet. shall comply with ICC/ANSI Al 17.1 Sections 604.5,607.4 & 608.3 ❑ AGI 03 = AG 105 Swimming Pool, Spa, Hot Tub - [r,NIAI YES NO AG105.2 Must be surrounded by a barrier that is 48 inches high, may have doors and or gates that must have audible ❑ alarms when opened: AG105.5 EXCEPTION: Pools Spas or hot tubs with a safety cover which complies with ASTM F 1346 ❑ ❑ PASSED ❑ CRECTIONS REQUIRED ❑ PERMIT REQUIRED rip F nwq ST ; TURF: DATE: INSPECTOR'S ADDRESS: PHONE: Application and Inspection Checklist developed by Washington Association of Building Officials (WABO), in cooperation with Department of Social and Health Services (DSHS) for use by both departments and licensors. 08101/10